Organization Name: | STEPPING STONES, INC. |
NPI Number: | 1649360025 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLENGTON P. BOYCE (CEO) |
Mailing Address: | Se Of Boley On Hwy 62 Boley |
State: | OK US |
Postal Code: | 74829 |
Phone Number: | 9186673633 |
Fax Number: | 9186673651 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |